Individual
ERIC CHRISTOPHER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 W OAK ST STE 201, KISSIMMEE, FL 34741-4998
(407) 518-3347
Mailing address
7574 FORREST SHADOW LN, BARTLETT, TN 38002-7502
(407) 774-5506
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33286
MS
2085R0202X
Diagnostic Radiology Physician
71067
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/24/2020
Last updated
12/05/2025
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